StrictlyHerbal.com International Mail Order Form

Follow These 2 Simple Steps To Place Your Order By Mail...

1) Print this order form and fill it out (use the product title and amount listed in description of product).

2) Send this order form, along with a money order, cashier's check, well-hidden cash in US Dollars (Note: Pay by cash, in US Dollars, Gold or Silver, and automatically get 10% in product for free as a special bonus!), to me at:

Allan Zufall                                             Please make payments out to Allan Zufall.
PO Box 32
Reynoldsville, PA 15851
USA

PLEASE NOTE: If you are paying with a money order or cashier's check, please add an additional $12 to the total because my bank charges me a $12 fee to process international money orders and international cashier's checks. Thank you.

All orders are shipped discreetly from Allan Zufall, with the return address above. There is no mention of my web site StrictlyHerbal.com on the package. I ship fast, and I ship orders on a first-come, first-served basis, so the sooner your order is in the mail, the sooner you will get your order.

Any Questions? Phone: 814-612-2042; Email: ALLAN(at)STRICTLYHERBAL(dot)COM
As soon as I get the payment, I will ship your order & email you with the shipping info.

WHERE SHOULD I SHIP YOUR ORDER? (Please print clearly, all fields are required.)
Ship To:

First & Last Name: __________________________

Mailing Address:   __________________________

                  __________________________

State / Zip Code:  __________________________

Country:                  __________________________

Your Phone #:     (_____)  ______ - _________

E-Mail Address:    __________________________

PRODUCT                         COST            X       QUANTITY                = SUBTOTAL
_________________________               $_________              ________                $_________

_________________________               $_________              ________                $_________

_________________________               $_________              ________                $_________

_________________________               $_________              ________                $_________

_________________________               $_________              ________                $_________

_________________________               $_________              ________                $_________

                                                                      SUBTOTAL   =     $_________

Shipping and Handling (For exact international shipping costs, please see the "International Shipping 
Information" section on the product page you are interested in. If this isn't available, please use 
the shipping and handling chart below that is calculated based on the weight of your order.)
1 gram    to 3 ounces   = $4.99
4 ounces  to 6 ounces   = $6.99
7 ounces  to 12 ounces  = $9.99
13 ounces to 1 pound    = $29.99
1 pound or more... see below for shipping for pounds and kilos.

						+ Shipping & Handling	      +$________

Do you want faster 10 to 20 day delivery by USPS Priority Mail? Please add an additional $25.
                                                                                        +$________

Shipping insurance is required. Please add shipping insurance to the total. Here are the rates:
$.01 to $50 in coverage is $1.99, $50.01 to $100 in coverage is $2.99, $100.01 to $200 is $4.99,
over $200 is $4.99 for the first $200 plus an additional $4.99 per $100 coverage or fraction thereof
									      +$________

           TOTAL (add subtotal + shipping & handling + insurance)  =                     $________